Provider Demographics
NPI:1134468242
Name:METCALF, HEATHER NICOLE (CRNP)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:NICOLE
Last Name:METCALF
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1714 9TH AVE S
Mailing Address - Street 2:SUITE 300 LEARNING RESOURCES CENTER
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35294-1270
Mailing Address - Country:US
Mailing Address - Phone:205-934-3580
Mailing Address - Fax:205-975-6193
Practice Address - Street 1:1714 9TH AVE S
Practice Address - Street 2:SUITE 300 LEARNING RESOURCES CENTER
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35294-1270
Practice Address - Country:US
Practice Address - Phone:205-934-3580
Practice Address - Fax:205-975-6193
Is Sole Proprietor?:No
Enumeration Date:2013-02-08
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1114932163W00000X
AL1-114932363LF0000X
ALFO411111363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse